Nurse practitioner
Nickie Rosario
CHI Memorial Hospital
Ooltewah,TN
Summary
Experienced Acute Care Hospitalist Nurse Practitioner with a strong background in inpatient hospital medicine. Skilled in diagnosing and managing acute and chronic medical conditions, interpreting diagnostic studies, developing evidence-based treatment plans, prescribing medications, coordinating interdisciplinary care, and educating patients and families. Experienced in the inpatient management of COVID-19 patients, including acute respiratory failure, hypoxia, pneumonia, sepsis, and complications related to chronic comorbidities. Demonstrates strong clinical judgment, compassionate bedside care, and the ability to manage complex patient presentations in fast-paced hospital settings. Dedicated to improving patient outcomes through safe, high-quality, patient-centered care.
Work History
Acute Care Hospitalist Nurse Practitioner
5 Years 10 Months- Provide comprehensive inpatient care for acutely ill adult patients with acute and chronic medical conditions.
- Assess, diagnose, and develop evidence-based treatment plans for hospitalized patients.
- Manage complex medical issues, including ordering and interpreting laboratory testing, imaging, EKGs, and other diagnostic studies.
- Manage hospitalized patients with COVID-19 infection, COVID-related pneumonia, hypoxia, acute respiratory failure, sepsis, and complications associated with chronic comorbid conditions.
- Monitor patients requiring supplemental oxygen, high-flow oxygen, noninvasive respiratory support, and escalation of care when clinically indicated.
- Recognize early signs of clinical deterioration through physical assessment, vital sign trends, laboratory results, imaging findings, and symptom progression.
- Coordinate timely physician notification, specialist consultation, ICU evaluation, or transfer when patient acuity requires a higher level of care.
- Demonstrate advanced knowledge of pharmacology and therapeutics to ensure safe and effective medication management.
- Manage supportive care and treatment plans involving corticosteroids, anticoagulation, bronchodilators, antibiotics when clinically indicated, oxygen therapy, and symptom control.
- Collaborate with physicians, nurses, respiratory therapists, pharmacists, case managers, and ancillary staff to support timely and effective patient care.
- Participate in interdisciplinary rounds to coordinate treatment plans, discharge needs, follow-up care, and patient education.
- Facilitate discharge planning by coordinating medications, follow-up appointments, home care services, durable medical equipment, and patient instructions.
- Educate patients and families regarding diagnoses, medications, treatment plans, disease progression, isolation precautions, discharge instructions, and follow-up care.
- Provide compassionate care during complex clinical situations, including goals-of-care discussions and end-of-life care when appropriate.
- Maintain accurate and timely documentation in electronic health record systems.
- Maintain patient confidentiality and compliance with HIPAA regulations, infection prevention standards, PPE requirements, isolation protocols, and hospital policies.
- Maintain current knowledge of clinical guidelines and best practices through continuing education, conferences, lectures, and professional development.
Acute Care Nurse Practitioner - Hospitalist
1 Year 4 Months- Provided high-level acute care services in a hospitalist setting using advanced assessment and diagnostic skills.
- Collaborated with physicians and healthcare team members to develop and implement treatment plans for acutely ill hospitalized patients.
- Diagnosed and treated complex and emergent medical conditions in collaboration with physicians and specialty providers.
- Evaluated and managed cardiopulmonary, endocrine, neurologic, gastrointestinal, musculoskeletal, infectious disease, and other complex medical conditions.
- Managed patients with respiratory illness, pneumonia, sepsis, hypoxia, and acute decompensation requiring close monitoring and escalation of care.
- Ordered and interpreted diagnostic studies, including laboratory testing, CBCs, CMPs, inflammatory markers, EKGs, radiographs, CT imaging, and other studies as clinically appropriate.
- Prescribed medications according to scope of practice and established protocols while monitoring therapeutic response, side effects, and drug interactions.
- Served as a clinical resource for nursing staff and supported effective communication among members of the healthcare team.
- Consulted with specialists to determine appropriate treatment plans for complex patient cases.
- Documented patient assessments, diagnoses, treatment plans, and follow-up recommendations accurately in the electronic medical record.
- Advocated for patient rights, safety, autonomy, and quality care throughout the treatment process.
Family Nurse Practitioner
1 Year 6 Months- Provided comprehensive primary and acute care services to diverse patient populations.
- Obtained and analyzed patient histories, symptoms, physical examination findings, and diagnostic data to develop appropriate diagnoses.
- Diagnosed and treated acute illnesses, infections, minor injuries, and chronic health conditions.
- Performed comprehensive physical examinations and documented findings accurately in the electronic medical record.
- Ordered and interpreted diagnostic tests, including laboratory studies, EKGs, radiographs, and other clinically appropriate testing.
- Developed, implemented, and evaluated treatment plans based on evidence-based practice guidelines.
- Prescribed medications based on efficacy, safety, cost, patient needs, legal requirements, and scope of practice.
- Educated patients and families regarding diagnoses, medications, treatment plans, preventive health, follow-up care, and chronic disease management.
- Maintained accurate patient records in compliance with HIPAA regulations and clinical documentation standards.
Registered Nurse, BSN, MSN
5 Years 3 Months- Delivered direct nursing care to patients in accordance with clinical standards, physician orders, and facility policies.
- Assessed patient conditions, monitored changes, and communicated concerns to providers and interdisciplinary team members.
- Administered medications and treatments safely while evaluating patient response and reporting significant changes.
- Supported care planning, patient education, discharge preparation, and coordination of services.
- Documented patient data accurately and timely in the electronic medical record.
- Demonstrated strong clinical judgment in complex patient care situations.
- Collaborated with physicians, advanced practice providers, nurses, and ancillary staff to promote safe and effective care.
- Served as a clinical resource and supported education for nursing staff and students as appropriate.
Licensed Practical Nurse
13 Years 1 Month- Provided nursing care to patients in a rehabilitation and long-term care environment.
- Administered medications and treatments in accordance with provider orders and facility protocols.
- Monitored patient status and reported changes in condition to registered nurses, providers, and supervising staff.
- Assisted with care planning, patient support, documentation, and coordination of daily nursing care.
- Maintained accurate medical records and supported compliance with facility policies and regulatory requirements.
- Built strong relationships with patients, families, and interdisciplinary team members through compassionate and professional care.
Education
Post-Graduate Degree - Acute Care Nurse Practitioner
Master of Science - Family Nurse Practitioner
Bachelor of Science - Nursing
Associate of Science - Nursing
Licensed Practical Nurse Program
High School Diploma
Skills
Clinical Skills
Professional Strengths
Acute care hospital medicine
Compassionate patient care
COVID-19 inpatient management
Strong clinical judgment
Acute respiratory failure management
Critical thinking
Chronic disease management
Interdisciplinary collaboration
Diagnostic interpretation
Patient and family education
Medication management
Adaptability in fast-paced settings
Treatment planning
Evidence-based practice
EMR documentation
Team collaboration
Discharge planning
Professional communication
Patient assessment
HIPAA compliance
Accomplishments
- Worked within the Hospitalist service to open new hospital
- Well experienced with hospital medicine including admissions, rounding and discharging
- Served on Hospitalist APP committee
- Served on Governance Council
- Member, Sigma Theta Tau International Honor Society of Nursing
- Medical missionary trip in Haiti
Certification
- Acute Care Nurse Practitioner, 12991403
- Family Nurse Practitioner, F01191443
- Registered Nurse, Tennessee, 0000200517
- Georgia Advanced Practice Nurse, RN2484659
- Georgia Registered Nurse, RN2484659
- Basic Life Support, expires January 2028
- Advanced Cardiovascular Life Support, expires January 2028
- National Provider Identifier, 1801355466
- TN and GA DEA : Active, available upon request
Timeline
Acute Care Hospitalist Nurse Practitioner
CHI Memorial Hospital
09.2020 - CurrentRead More
Acute Care Nurse Practitioner - Hospitalist
Erlanger Medical Center
09.2019 - 01.2021Read More
Family Nurse Practitioner
Family Medical Therapies
07.2019 - 01.2021Read More
Registered Nurse, BSN, MSN
CHI Memorial Hospital, Hixson
06.2014 - 09.2019Read More
Licensed Practical Nurse
Bradley Healthcare and Rehabilitation
05.2001 - 06.2014Read More
Bradley Central High School
High School Diploma
Read More
Tennessee College of Applied Technology
Licensed Practical Nurse Program
Read More
Southern Adventist University
Associate of Science from Nursing
Read More
Southern Adventist University
Bachelor of Science from Nursing
Read More
Southern Adventist University
Master of Science from Family Nurse Practitioner
Read More
Southern Adventist University
Post-Graduate Degree from Acute Care Nurse Practitioner
Read More